Active NPI
Kayla Michelle Hale, P.A.
- Surgical Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1649664392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2806
- Practice address
- 13904 Quailbrook Dr
Oklahoma City, OK 73134-1718 - Phone
- (405) 748-5950
- Fax
- (405) 607-3580
- NPI assigned
- Mar 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA09642 | TX | |
| Surgical Physician Assistant | 363AS0400X | 2806 | OK | Primary |
Addresses
Primary practice location
13904 Quailbrook Dr
Oklahoma City, OK 73134-1718
Mailing address
3033 NW 63Rd St Ste 152E
Oklahoma City, OK 73116-3607
Phone (405) 755-6651
Other names 1
- Kayla Michelle Bader
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2806 | OK | MD | Surgical Physician Assistant |
| PA09642 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Sutker, M.D., P.a. | Past | Accepting new patients | |
| Dallas Center for Sleep Disorders, P.a. | Past | Accepting new patients | |
| Oklahoma Otolaryngology Hearing Center Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Edmond, OK
- NPI 1356788954
-
- Sleep Disorder Diagnostic Clinic/Center
- Plano, TX
- NPI 1194744276
-
- Surgery Physician
- Dallas, TX
- NPI 1861804973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1649664392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 NW 63RD ST STE 152E",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731163607",
"telephone_number": "405-755-6651",
"fax_number": "405-755-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13904 QUAILBROOK DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341718",
"telephone_number": "405-748-5950",
"fax_number": "405-607-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "KAYLA",
"middle_name": "MICHELLE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-20",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA09642",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OK",
"license": "2806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "BADER",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.